First Lutheran Church, Algona IA - VBS Child Registration

Vacation Bible School 2025
Child Registration Form

Our VBS is open to children who have completed 3 year old preschool and are potty trained, through 4th grade.
If your child has completed 5th grade and would like to volunteer during VBS please use the Youth Volunteer link.

Parent / Guardian Information

First Name

Last Name

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Emergency Contacts (not listed above)

Who is authorized to pick up your child(ren) from VBS?

How many children are you registering today?

Name of Child

Date of Birth

Gender

Grade in Fall 2024 (just completed)

T-Shirt Size

Does the child have any allergies?

Yes

Please list all food and environmental allergies:

Are there any medical concerns we should be aware of?

Yes

Please include all medical concerns:

Name of Child 2

Date of Birth for Child 2

Gender of Child 2

Grade in Fall 2024 (just completed) for Child 2

T-Shirt Size of Child 2

Does Child 2 have any allergies?

Yes

Please list all food and environmental allergies for Child 2:

Are there any medical concerns we should be aware of for Child 2?

Yes

Please include all medical concerns for Child 2:

Name of Child 3

Date of Birth for Child 3

Gender of Child 3

Grade in Fall 2024 (just completed) for Child 3

T-Shirt Size of Child 3

Does Child 3 have any allergies?

Yes

Please list all food and environmental allergies for Child 3:

Are there any medical concerns we should be aware of for Child 3?

Yes

Please include all medical concerns for Child 3:

Name of Child 4

Date of Birth for Child 4

Gender of Child 4

Grade in Fall 2024 (just completed) for Child 4

T-Shirt Size of Child 4

Does Child 4 have any allergies?

Yes

Please list all food and environmental allergies for Child 4 :

Are there any medical concerns we should be aware of for Child 4?

Yes

Please include all medical concerns for Child 4:

I give permission for photographs or videos of my child(ren) taken as part of First Lutheran VBS 2025, to be used now or in the future for the purpose of internal and external communications, including advertising and marketing as well as posted on Social Medical account(s) including Facebook, Instagram, and the website. I understand I can withdraw this consent at any time by advising the First Lutheran office in writing.

Agree

Disagree, do not use my child's photos or videos

In the event I cannot be reached, I hereby give permission for First Lutheran Church VBS to secure proper and necessary treatment / medical attention for my child(red) as named on this form.

I agree

I disagree, do not seek emergency medical treatment without my consent.

By typing your name below you are agreeing the above information is correct:

< Back

Next >

Submit

Vacation Bible School 2025
Child Registration Form

Parent / Guardian Information

About

What We Believe

Our Story

Leadership

Sunday Mornings

Contact Info

Prayer

Follow Us

Implementation by ReedVerde

Vacation Bible School 2025Child Registration Form

Parent / Guardian Information

About

What We Believe

Our Story

Leadership

Sunday Mornings

Contact Info

Prayer

Follow Us

Vacation Bible School 2025
Child Registration Form